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An unusual presentation of aortic saddle embolus
  1. Jonathan Yap1,
  2. Yeow Leng Chua2,
  3. Aaron Wong1
  1. 1Department of Cardiology, National Heart Centre Singapore, Singapore, Singapore
  2. 2Department of Cardiothoracic Surgery, National Heart Centre Singapore, Singapore, Singapore
  1. Correspondence to Dr Aaron Wong, Department of Cardiology, National Heart Centre Singapore, 17 Third Hospital Avenue, Singapore S168752, Singapore; aaron.wong.s.l{at}nhcs.com.sg

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Aortic saddle embolus often presents with acute lower limb ischaemia or neurological deficits.1 ,2 Other unusual presentations may occasionally be encountered.

A 60-year-old woman with a history of an old anterior myocardial infarction presented to the emergency department with acute pulmonary oedema. The ECG showed non-specific ST abnormalities with slightly raised cardiac enzymes. An urgent coronary angiogram was performed to rule out cardiac …

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